Abstract

OBJECTIVE
To report a case of severe necrotizing ulcerative periodontitis (NUP) with a rarely associated sequestrum formation in a Nigerian HIV-positive patient.
CLINICAL PRESENTATION AND INTERVENTION
A 47-year-old HIV-positive male patient with no history of previous dental visits presented with a severe toothache in his lower jaw of 4 weeks' duration, which had affected his ability to chew properly. Clinical examination revealed marked gingival inflammation, moderate gingival recession and mobility of some of his lower anterior teeth: 31, 32, and 33. There was also a sequestrum present associated with the affected teeth. His CD4 cell count was 226 cells/mm(3). His viral load was very high (360,082 copies/ml). The intervention included thorough debridement of the necrotic lesion and sequestrectomy. The patient responded well to treatment after 1 week of follow-up. Unfortunately, the CD4 count was not assessed further because the patient was lost to follow-up.
CONCLUSION
This case showed that a high CD4 cell count does not necessarily prevent the occurrence of NUP in HIV-positive patients. Intervention might have enhanced a rapid positive response to the treatment within a short time.

Links

Publisher Full Text

Authors

Umeizudike KA, Savage KO, Ayanbadejo PO, Akanmu SA

Institution

Department of Preventive Dentistry, Faculty of Dental Sciences, College of Medicine, University of Lagos, Lagos, Nigeria. kumeiz09@gmail.com

Source

Medical principles and practice : international journal of the Kuwait University, Health Science Centre 20:4 2011 pg 374-6

MeSH

Aggressive Periodontitis
CD4 Lymphocyte Count
Debridement
Gingivitis, Necrotizing Ulcerative
HIV Infections
Humans
Male
Middle Aged
Nigeria
Viral Load

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

21577000